Part I – Family Nursing Care
* Create a diagram of the family’s structure to create a “genogram”.
* Below the Genogram, summarize the family structure to show that you understand the findings of the family assessment.
* You can use the Australian Family Strengths Nursing Assessment Guide to briefly describe and identify two (2) strengths within the family you are assessing.
Part 2 – Nursing Care Of The Familie: Planning,.
Implementing, and Evaluating
* Please choose two (2) challenges/issues for the family.
These issues might be identified by the nurse or family member, or both.
These could be issues related to the health or social well-being of the family (e.g. breastfeeding, social isolation and transition to parenthood), but they should not be considered medical problems such as high blood pressure, diabetes, or high blood sugar.
* For each issue/challenge identifies in the family assessments
a. Describe the issue
You can use appropriate evidence from scholarly publications to describe the issue and discuss the challenges.b) Plan nursing care
Use appropriate evidence or policies to explain why the goal is pertinent.c) Implement nursing, care
The family should be able to identify one support intervention.
Each intervention should be supported by the recommendation of a family-friendly online resource as well as a referral.d) Evaluate nursing care
How would you evaluate the effectiveness to assess whether the intervention met the care goal?
Answer to Question: 2810NRS Child And Family Nursing Practice
Nursing Care for the Family: Planning. Implementing. Evaluating.
Family-related Challenges and Issues
Describe the Issue
Sheila’s greatest challenge is her transition to parenting. Sheila also has to deal with the tantrums of her kids.
Sheila has a two-year-old daughter Jessie and a four year old son Grant.
Sheila finds it hard to manage Jessie, who isn’t yet toilet-trained, has a limited sleep schedule, and eats very little.
Sheila has to manage her tantrums as well as Grant, her baby girl.
Her husband is often away, and she has to care for him. This makes her anxious and exhausted.
Most parents experience difficulties in transitioning from parenting.
Hutteman, et al. (2014) have shown that parenting can often be stressful for parents.
Their child’s needs are often the reason they have less time for themselves.
The second reason is that parents have to adapt to their new role. This is due to the drastic change in lifestyles after the birth of a bath.
Unbalanced lives and inability understand the behavior patterns of children can make parents feel tired and emotionally draining (Roeters and Mandemakers, 2016).Plan Nursing Care:
Sheila is now faced with many difficulties after she has taken on the parenting role and manages the tantrums of her children. The main nursing goal is to:
Sheila’s children need your support.
Sheila receives parenting advice and practices, so that she can handle both the personal and the situation adversities of parenthood.
Use specific problem-solving methods to deal with behavioral problems in Jessie
Sheila should be supported to reach her parenting goals, as well as finding time for her personal interests.
These goals can be applied to the problem that parenting is difficult.
Sheila will benefit from specific nursing intervention that helps her deal with the pressures of parenthood and to reduce her social isolation.
This information is relevant to the policies, which are focused on supporting parents of children aged below eight years.
These types of interventions focus on supporting parents of young kids by giving them knowledge about the development of children and successful parenting techniques.
In general, the nursing interventions would strengthen the parenting abilities of Sheila and other parents.
Apply Nursing Care
To help Sheila reach her goals and alleviate all her worries about parenting, Sheila needs to be educated on effective parenting techniques and how to recognize different child development patterns.
Parents can face serious difficulties if they don’t know why their child is crying so often or why they aren’t eating right.
Parents can be supported by the nurse to learn about their child’s behavior patterns and then address them.
Early education is important for parents in order to understand their child’s health, learning, and development.
The nurse may give the mother coping strategies to help her deal with the many needs of the family.
The best parenting practices are encouraged by direct parents to child care in the home or community.
Pediatric nursing services recommend supporting parents with young kids as part of their family-centered care philosophy (Harrison (2010)).
These nursing interventions also encourage the emotional and psychological growth of the family as a whole.
Sheila can also learn how to toilet train Jessie from the nurse by following these steps
Sheila can teach her to identify if her child has a problem with the toilet.
A child can learn to give signs to signal that she is going to the toilet.
The movement and behavior patterns of the child can help parents identify any toileting issues.
Education on teaching children how they can use the toilet should be offered as well.
The child will learn how to properly use the toilet and develop a routine that prevents soiling.
Take a look at nursing care:
To evaluate the above-mentioned nursing care, Sheila can be assessed by assessing whether she has applied all the knowledge to her daily life.
If Sheila recognizes signs and symptoms that relate to crying or toileting issues, then the care plan has been achieved.
Sheila’s social isolation will also be addressed. She feels confident she can now manage her child’s needs.
This will ensure Jessie’s physical and emotional health as well overall family.
Describe The Issue
Jenson family has another issue: Grant, her four-week old son, isn’t developing well. Grant also has abnormalities that were discovered due to preterm birth.
Scott, Sheila’s spouse, has made it particularly difficult.
This issue applies to coparenting challenges during parenthood. It also pertains to poor physical development among pre-term birth children.
Riina, McHale (2014) showed that coparenting can have different impacts on the development and management of children with risky behaviors.
Scott’s support would had made it possible for Sheila be able to care for her child easily.
Soares (2016) also stated that children born preterm are more susceptible to developing health complications.
If parents don’t act quickly, they are more likely to experience financial, emotional, and other problems.Plan Nursing Care:
Grant, their preterm baby is one of the most significant family problems for the Jenson family.
Grant is breastfed, but he still cries and sleeps very little.
He was also treated in a neonatal intensive hospital with CPAP for 24hrs and special care nursery two weeks.
In order to prevent Grant from suffering any health problems, Grant was placed on CPAP for 24 hours and special care nursery for two weeks.
To monitor Grant’s health and development regularly
Monitoring and responding in the event of an abnormal head circumference, weight, or length measurement.
Sheila’s pre-term children: education and teaching
Scott’s coping skills and management abilities are taught to him in order for him to be able to co-parent successfully (Lunsky and colleagues, 2015).
These goals can be relevant to children born prematurely. Studies have shown that children born preterm are more likely than others to suffer from multiple diseases.
The greater the likelihood of having medical problems later in life, the sooner the pre-term delivery.
It may cause children learning and motor disabilities, as well as chronic health problems. (Ranke Kragelohmann, Vollmer (2015)).
Grant’s progress and growth should be tracked to ensure her development.
Apply Nursing Care
Grant’s health and well-being are the main nursing issues.
Routine assessment of Grant’s growth can help to determine if there is a need for nursing intervention.
Grant’s growth and development was assessed. His weight, head circumference, and length were found to be in the 10th percentile.
This means Grant’s overall development and growth is not normal. It also indicates that 10 out of 100 children will have similar head, length and weight measurements.
As a result, the nurse will need to examine the circumstances behind such measurements and look for abnormal growth.
Pre-term children are now being assessed for their growth, metabolic and neurocognitive development. This allows nurses to detect abnormal development early so they can take preventative steps to improve outcomes (Ranke Krageloh, Vollmer, & Mann, 2015).
Second, nurses can respond to pre-term birth infant’s special needs by providing information to parents on abnormalities and teaching them strategies to manage such children.
For a preterm infant to be managed well, supportive nursing care is essential (Benzies et.al. 2013, 2013).
It is important to educate parents about the nutritional supplements required for preterm babies and engage in neuro-developmental services for these infants.
Sheila may not be aware of the immunization requirements for her baby. The nurse should help her understand the process and direct her to the right health care providers to meet her needs.
Children with thermoregulation stability may also benefit from the care provided by a nurse (Lester and colleagues, 2014).
Take a look at nursing care:
Good neuro-cognitive, physical and mental health is crucial for the successful nursing intervention to manage pre-term infant care.
Sheila can be aware of the care needs and complications that pre-term birth babies face so she can take the right actions.
This will allow the child to receive appropriate nursing care and help with optimal health.
Refer toBenzies, K. M., Magill-Evans, J. E., Hayden, K. A., & Ballantyne, M. (2013).
A systematic review of the key components of early intervention programs in preterm infants, and their parents: a meta-analysis.
BMC pregnancy, childbirth, 13(1).Breitenstein, S. M., Gross, D., & Christophersen, R. (2014).
The systematic review of digital delivery methods in parenting training interventions.
Worldviews on Evidence Based Nursing, 11(3), 161-176.Harrison, T. M. (2010).
Family-centered pediatric nursing: state of the science.
Journal of pediatric Nursing, 25(5). 335-343.Hutteman, R., Bleidorn, W., Kerestes, G., Brkovi?, I., Butkovi?, A., & Denissen, J. J. (2014).
Reciprocal relationships between parenting challenges, personality development in young adults and middle age.
European Journal of Personality. 28(2), 168–179.Lester, B. M., Hawes, K., Abar, B., Sullivan, M., Miller, R., Bigsby, R., … & Padbury, J. F. (2014).
Single-family rooms and neurobehavioral/medical outcomes in preterm babies. Pediatrics, 134(4), 754-760.Lunsky, Y., Robinson, S., Reid, M., & Palucka, A. (2015).
The development of a mindfulness-based coping strategy for stress in parents of young people with developmental disabilities. Mindfulness, 6(6), 1335-1344.Ranke, M. B., Krageloh?Mann, I., & Vollmer, B. (2015).
Growth, head, and neurocognitive outcomes for children very prematurely born: Methodological aspects and selected results.
Developmental Medicine & Child Neurology 57(1) 23-28Ranke, M. B., Krageloh?Mann, I., & Vollmer, B. (2015).
Methodological aspects and selected results: Growth, brain development and neurocognitive outcome for very preterm babies.
Developmental Medicine & Child Neurology 57(1) 23-28Riina, E. M., & McHale, S. M. (2014).
Bidirectional influences between dimensions in coparenting, and adolescent adjust.
Journal of youth & adolescence, 43.2, 257-269.Roeters, A., Mandemakers, J. J., & Voorpostel, M. (2016).
Parenthood, well-being and the moderating role played by leisure and paid work.
European Journal of Population. 32(3), 381-401.Soares, R. L. D. S. F., Christoffel, M. M., Rodrigues, E. D. C., Machado, M. E. D., & Cunha, A. L. D. (2016).
The meanings for caring for preterm babies in the eyes of male parents.
Texto & Contexto–Enfermagem. 25(4).